Yunita Sarah Nadeak
Akademi Keperawatan Kebonjati

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Determinants of Medication Compliance among Pulmonary Tuberculosis Patients in the North Cimahi Community Health Center Work Area Yunita Sarah Nadeak; Eva Elfrida Pardede; Tiarmaida Sitio
International Journal Of Health Science Vol. 5 No. 1 (2025): : International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v5i1.5989

Abstract

In Indonesia, tuberculosis (TB) remains a global public health problem. The results of an initial survey in the North Cimahi Community Health Center work area The data obtained shows that the number of patients with pulmonary tuberculosis with positive smear is 106 patients. The purpose of this study is to analyze the determinants of adherence to taking medication in pulmonary tuberculosis patients in the area. This study uses a cross-sectional design . The population taken is all pulmonary tuberculosis patients in the working area of the North Cimahi Health Center as many as 106 people, with a total sample of 51 people. Data analysis uses the chi-square test and linear logistic regression. The results of the study showed that there was a relationship between knowledge (0.000), attitude (0.000), education (0.000), work (0.001), and family support (0.000) on medication adherence. Knowledge was the dominant factor influencing medication adherence in pulmonary TB patients with an OR value (Exp B = 29.169 ).It is hoped that health workers will always remind TB sufferers when taking medication to pay more attention to the regularity of taking medication , while TB sufferers are expected to be regular in taking medication and take medication according to the schedule .
Efektivitas Penerapan Perawatan Luka Metode Moistwound Healing pada Luka Ulkus Diabetes Militus Tipe II di Rumat Spesialis Luka Diabetes Unit Antapani Bandung Yunita Sarah Nadeak; Eva Elfrida Pardede
NAJ Nursing Applied Journal Vol. 3 No. 1 (2025): January : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v3i1.581

Abstract

The prevalence of diabetic ulcers in Indonesia is approximately 15%, with an amputation rate of 30% and a mortality rate of 32%. Diabetic ulcers account for 80% of hospitalizations among Diabetes Mellitus patients, due to a combination of peripheral neuropathy and ischemia. The Moist Wound Healing (MWH) method is used to accelerate the healing of diabetic ulcers. MWH maintains wound moisture, creating an optimal environment for tissue growth, speeding up healing, and reducing the risk of infection. This study used a quasi-experimental approach with a pre-test and post-test design, involving 15 patients at the Diabetic Wound Specialist Clinic, Antapani Unit, Bandung. Wound care was carried out over 21 days with weekly observations. Data were analyzed using the Wilcoxon test. The results showed a significant improvement in wound condition after MWH treatment. Before treatment, 40% of patients were in the inflammatory phase, and 60% in the proliferative phase. After treatment, 66.7% were in the proliferative phase, and 20% had reached the remodeling phase. The Wilcoxon test showed a p-value of < 0.001, indicating a significant difference before and after treatment. Conclusion: MWH is effective in accelerating diabetic ulcer healing by promoting the proliferative and remodeling phases. Recommendation: Future studies may explore other factors affecting healing and compare MWH with other wound care method